Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice |
| NPI Number | 1053965905 |
| LBN Legal business name | CACHE VALLEY HAND THERAPY LLC |
| Authorized official | RYAN GODFREY - (OCCUPATIONAL THERAPIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/30/2019 |
| Last updated | 11/22/2019 - About 7 years ago |
| Identifiers | n/a |
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